Predictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africa

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dc.contributor.authorJonas, Kim
dc.contributor.authorReddy, Priscilla
dc.contributor.authorvan den Borne, Bart
dc.contributor.authorSewpaul, Ronel
dc.contributor.authorNyembezi, Anam
dc.contributor.authorNaidoo, Pamela
dc.contributor.authorCrutzen, Rik
dc.date.accessioned2017-11-01T11:36:26Z
dc.date.available2017-11-01T11:36:26Z
dc.date.issued2016
dc.description.abstractBACKGROUND: Adolescent mothers are at a much higher risk for maternal mortality compared to mothers aged 20 years and above. Newborns born to adolescent mothers are also more likely to have low birth weight, with the risk of long-term effects such as early onset of adult diabetes than newborns of older mothers. Few studies have investigated the determinants of adequate quality maternal and child healthcare services to pregnant adolescents. This study was conducted to gain an understanding of nurses’ and midwives’ intentions to provide maternal and child healthcare and family planning services to adolescents in South Africa. METHODS: A total of 190 nurses and midwives completed a cross-sectional survey. The survey included components on demographics, knowledge of maternal and child healthcare (MCH) and family planning (FP) services, attitude towards family planning services, subjective norms regarding maternal and child healthcare and family planning services, self-efficacy with maternal and child healthcare and family planning services, and intentions to provide maternal and child healthcare and family planning services to adolescents. Pearson’s correlation analysis was conducted to determine the association between knowledge, attitude, subjective norms, self-efficacy, and intention variables for FP and MCH services. A 2-step linear regression analysis was then conducted for both FP and MCH services to predict the intentions to provide FP and MCH services to adolescents. RESULTS: Self-efficacy to conduct MCH services (β = 0.55, p < 0.01) and years of experience as a nurse- midwife (β = 0.14, p < 0.05) were associated with stronger intentions to provide the services. Self-efficacy to provide FP services (β = 0.30, p < 0.01) was associated with stronger intentions to provide FP services. CONCLUSIONS: Self-efficacy has a strong and positive association with the intentions to provide both MCH and FP services, while there is a moderate association with attitude and norms. There is a need to improve and strengthen nurses’ and midwives’ self-efficacy in conducting both MCH and FP services in order to improve the quality and utilization of the services by adolescents in South Africa.en_US
dc.description.accreditationISI
dc.identifier.citationJonas, K. et al. (2016). Predictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africa. BMC Health Services Research, 16: 658en_US
dc.identifier.issn1472-6963
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-016-1901-9
dc.identifier.urihttp://hdl.handle.net/10566/3247
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherBiomed Centralen_US
dc.rights© The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.status.ispeerreviewedTRUE
dc.subjectAdolescentsen_US
dc.subjectAttitudeen_US
dc.subjectFamily planningen_US
dc.subjectKnowledgeen_US
dc.subjectIntentionen_US
dc.subjectMaternal healthcareen_US
dc.subjectMidwifeen_US
dc.subjectNurseen_US
dc.subjectSubjective normsen_US
dc.titlePredictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africaen_US
dc.typeArticleen_US

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